Attitudes and behaviours of adolescents towards antibiotics and self-care for respiratory tract infections: a qualitative study.
Attitudes and behaviours of adolescents towards antibiotics and self-care for respiratory tract infections: a qualitative study.
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DOI：
10.1136/bmjopen-2016-015308
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发表时间：
2017-06-06
期刊：
影响因子：
2.9
通讯作者：
McNulty CA
中科院分区：
文献类型：
--
作者：
Hawking MK;Lecky DM;Touboul Lundgren P;Aldigs E;Abdulmajed H;Ioannidou E;Paraskeva-Hadjichambi D;Khouri P;Gal M;Hadjichambis AC;Mappouras D;McNulty CA
了解青少年对抗生素、抗菌素耐药性和呼吸道感染的态度和行为。由计划行为理论启发的定性方法。进行了半结构化访谈和焦点小组。我们的目的是为在国际环境下改善青少年使用抗生素的干预措施的发展提供信息；因此，在完成主题分析后，研究结果与来自法国、沙特阿拉伯和塞浦路斯的类似研究的定性数据进行三角测量，以阐明行为变化模式和对不同背景的适应方面的差异。7个来自英格兰南部的教育机构。53名青少年(16-18岁)参加了7个焦点小组，21人参加了访谈。大多数参与者都服用了抗生素，并将其与止痛药等其他常见药物相提并论；他们报告称，他们的同龄人将抗生素视为“万能药”，他们自己对抗生素作为讨论话题不感兴趣。他们对病毒感染和细菌感染之间的区别知之甚少。参与者自己照顾感冒和流感，但认为需要抗生素来治疗其他呼吸道感染，如扁桃体炎，他们认为这是更严重的。过去为生殖器感染服用抗生素的历史向人们灌输了这样的信念，即未来的生殖器感染需要抗生素。那些把自己描述为“非理科学生”的人对抗生素和AMR知之甚少。大多数参与者认为AMR与他们和他们的同龄人无关。一些非理科学生认为抵抗力是人体的属性，而不是细菌。通过行为改变干预措施解决青少年对抗生素和RTI治疗的误解，应有助于提高抗生素意识，并可能打破这一群体中患者对抗生素治疗RTI的需求循环。学校应该考虑对所有学生进行关于抗生素用法和AMR的进一步教育，而不仅仅是那些服用科学的学生。
To understand attitudes and behaviours of adolescents towards antibiotics, antimicrobial resistance and respiratory tract infections. Qualitative approach informed by the Theory of Planned Behaviour. Semi-structured interviews and focus groups were undertaken. We aimed to inform the development of an intervention in an international setting to improve antibiotic use among adolescents; therefore on completion of thematic analysis, findings were triangulated with qualitative data from similar studies in France, Saudi Arabia and Cyprus to elucidate differences in the behaviour change model and adaptation to diverse contexts. 7 educational establishments from the south of England. 53 adolescents (16–18 years) participated in seven focus groups and 21 participated in interviews. Most participants had taken antibiotics and likened them to other common medications such as painkillers; they reported that their peers treat antibiotics like a ‘cure-all’ and that they themselves were not interested in antibiotics as a discussion topic. They demonstrated low knowledge of the difference between viral and bacterial infections. Participants self-cared for colds and flu but believed antibiotics are required to treat other RTIs such as tonsillitis, which they perceived as more ‘serious’. Past history of taking antibiotics for RTIs instilled the belief that antibiotics were required for future RTIs. Those who characterised themselves as ‘non-science students’ were less informed about antibiotics and AMR. Most participants felt that AMR was irrelevant to them and their peers. Some ‘non-science’ students thought resistance was a property of the body, rather than bacteria. Addressing adolescents’ misperceptions about antibiotics and the treatment of RTIs using a behaviour change intervention should help improve antibiotic awareness and may break the cycle of patient demand for antibiotics to treat RTIs amongst this group. Schools should consider educating all students in further education about antibiotic usage and AMR, not only those taking science.